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Speaking Engagement Request Form
To request Dr. David Moore, Jr. for a speaking/preaching engagement, please complete the following form. Please note that this form is only a request and not a confirmation of acceptance. You will receive an email or telephone call regarding the status of your request. Thank you in advance for your invitation.
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Email *
Today's date *
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Contact Person Info *
Phone *
Name of organization *
Location of Event *
Date of event
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Time of event *
Time
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Time requested for Dr. Moore to speak *
Time
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Time allotted to Dr. Moore to speak *
Theme/Subject *
Type of Forum *
Targeted Audience *
Stipend offered? *
If yes, amount?
Meal(s) stipend, travel, and hotel expenses (if applicable) are to be determined prior to the confirmation of engagement.
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